Individual
JON M RAIMONDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 RALSTON AVE, DEPARTMENT OF SURGERY, DEFIANCE, OH 43512-1396
(419) 783-6944
(419) 783-4416
Mailing address
1200 RALSTON AVE, DEPARTMENT OF SURGERY, DEFIANCE, OH 43512-1396
(419) 783-6944
(419) 783-4416
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-248250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223183
ANTHEM
OH
05
—
2207589
—
OH
01
—
430074066
RRMC
OH
Enumeration date
12/07/2005
Last updated
11/03/2023
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